The nurse is concerned that an older client with a retention catheter is developing a urinary tract infection when what is assessed?
1. Elevated blood pressure.
2. Elevated heart rate.
3. Confusion.
4. Leg pain.
Correct Answer: 3
Rationale 1: Elevated blood pressure is not a sign of urinary tract infection.
Rationale 2: Elevated heart rate is not a sign of urinary tract infection.
Rationale 3: In the older client, confusion can be an early sign of urinary tract infection.
Rationale 4: Leg pain is not a sign of urinary tract infection.
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